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Using Dental Implants in the Prosthetic Rehabilitation of Patients with Cleft Defect Type II

A dental implant may be used in prosthetic tooth reconstruction in cleft patients. There are three main indications for this approach: substitution of a missing single tooth, an abutment for the framework, and an abutment for a fixed dental prosthesis (we designate these as defect types I, II, and I...

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Published in:The Cleft palate-craniofacial journal 2011-01, Vol.48 (1), p.98-102
Main Authors: Sedlackova, Kristina, Duskova, Marketa, Strnadel, Tomas, Kotova, Magdalena, Haas, Michal
Format: Article
Language:English
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Summary:A dental implant may be used in prosthetic tooth reconstruction in cleft patients. There are three main indications for this approach: substitution of a missing single tooth, an abutment for the framework, and an abutment for a fixed dental prosthesis (we designate these as defect types I, II, and III). A clinical report about prosthetic rehabilitation using dental implants instead of a fixed or removable partial prosthesis is presented. A patient with a unilateral cleft defect was treated at the University Hospital in Prague, Czech Republic. Together with a missing lateral incisor, the defect was associated with agenesis of the two upper canines and three second premolars. The treatment was completed by prosthetic dental reconstruction using the framework with a dental implant as an abutment. This approach allowed minimizing the preparation of adjacent teeth to a single tooth functioning as the second abutment. If classical fixed prosthodontics had been performed, the preparation would have involved a larger group of intact teeth with the risk of their viability loss. The procedure had no complications. The outcome was of high quality and brought satisfaction to the patient.
ISSN:1055-6656
1545-1569
DOI:10.1597/08-025